HomeMy WebLinkAbout141 Andrews Rd (2)IIECEIVE
CITY OF SANFORDMAR102016BUILDING & FIRE PREVENTION
BY: PERMIT APPLICATION
Application No: Documented Construction Value: $
Job Address: 141 Andrews Rd, Sanford 32773 Historic District: Yes El No W-'-
ParcelID: 18-20-31-503-0000-0480
Description of Work: Roof Replacement
Plan Review Contact Person:
Phone: Fax:
ning:
E-mail:
Property Owner Information
Name Timothy Hendrix
Street: 141 Andrews Rd
City, State Zip- Sanford, FL 32773
Phone:
Title: I
Resident of property? LA i! S
i
Contractor Information
Name Tg!) (;upi j u-3. &Ar,,ASa ta'rFs Phone: (D93 1e3_1(,3G
street: k0SN 0'0 Pke-L olaN_60 Fax: LtQ-) -550 010
City, State Zip: U gi ftwo State License No.: CU- 13';G9 a a
Arch itectlEng i neer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit 0
Square Footage: _
No. of Dwelling Units:
Electrical 11
New Service - No. of AMPS:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
No. of Stories:
Plumbing 0
New Construction - No. of Fixtures:
Mechanical [3 (Duct layout required for new systems) Fire Sprinkler/Alarm 13 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
X 2- -
ature wner7Agent Date
fill
Trint Owner/Agent's Na&
BELINDA A SHANKLE
Notary Public - State of Florida
My Comm. Expires May 17. 2018
Commission # FF 086020
Owner/Agent is - Personally Known to Me or
Produced ID L7'Type of ID ffl- _
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
S' turc of C to /A 6ht Date
W;
c r 9
r 1% (S
Print Contractor/Agent's Name
1 3JS.a c-UN.tary-Sw 140n Dateq
UTILITIES:
FIRE:
Contractor/Agent *s PersonallyKno n to Me or
Produced ID Type of ID - -" L-
WASTE WATER:
BUILDING:
Rev 11.08
3/212016
CF!4!!r
SCPA Parcel View: 18-20-31-503-0000-0480
Property Record Card
Parcel: 18-20-31-503-0000-0480
Owner: HENDRIX TIMOTHY W
Property Address: 141 ANDREWS RD SANFORD, FL 32773
I Parcel: 18-20-31-503-0000-0480 1
Property Address: 141 ANDREWS RD
Owner: HENDRIX TIMOTHY W
Mailing: 141 ANDREWS RD
SANFORD, FL 32773
Subdivision Name: ROSE HILL
Tax District: SI-SANFORD
Exemptions: 00-HOMESTEAD (2012)
DOR Use Code: 01-SINGLE FAMILY
50
I Value Summary I
2016 Working
Values
2015 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 118,303 113,867
Depreciated EXFT Value 10,736 11,253
Land Value (Market) 27,000 27,000
Land Value Ag
Just/Market Value
156,039 152,120
Portability Adj
Save Our Homes Adj 45,586 42,435
Amendment I Adj
Assessed Value 110,453 109,685
Tax Amount vAthout SOH:
2015 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem Assessments
2,274.51
1,410.89
3.62
http-//www.scpafl.org/ParceiDetaillnfo.aspx?PID=18203150300000480 1/2
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 3 k la 0 u
I hereby name and appoint: KIJ) nn bn-4-h n
an agent of. U-L
Name of Company)' i
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
All permits and applications submitted by this contractor. xc
or
1:1 The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney: M ODIaa—i
License Holder Name:
4
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF
L
The foregoing instrument wastnowlWged before me this day ofI
201 Lp , by who is(,personally known
to me or c who has produced
1 1 ication and who did (did not) take an'oath.
Signature
Notary Seal) Aa kg d
Print or tvne name
SANDRA ARCRARD
COMMISSION 0 FF 9629%
F Bor"
EXPIRES: Mirch I i, 2D20
Thru Nohq PublIc Undw.item.
Notary Public - State of r -
Commission No. Acjl—:>
My Commission Expires: 3
as
Rev. 8/06/13)
THIS INSTRUMENT PREPARED BY:
Name: Quality First Builders, LLC
Address: 4500 36th Street
Orlando,Fl- 32811
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: . 18-20-31-503-0000-0480
l'l(']F'Yr0ll']E 11ORSE, SE111NOLE couwry
LERK OF Cjj cljjj COURT & EOPIPTROLLER, BK "3611-7 Pq 9,31 (1p9s)
CLEWS 201602548o
REC01101-1 ij'--/ji1/2016 11:11::16 j)11
ECOF,DING FELS
l-k'EC01WED BY 11 davore
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal desc iption of the property and street address if available)
Lot 48 Rose Hill PB 54 Pqs 41 & 42, 141 Andrews Rd
2. GENERAL DESCRI ENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address- Timothy Hendrix, 141 Andrews Rd, Sanford, FL 32773
Interest in property. Owner
Fee Simple Title Holder (if other than owner listed above) Name N/A
4. CONTRACTOR: Na
Address- 105?"ll,
1-5, VtC1r1N(.-S L-f-v
41 1)-0 Ll - I 5b 0
SURETY (if applicable, a copy of the payment bond is attached): Name
6. LENDER: Name: N/A
Address
Phone
Wb7r:
Is-)-2 &1 -3
Amount of Bond:
Phone Number.
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(l)(a)7., Florida Statutes.
Name: N/A Phone Number-
8. In addition, Owner designates N/A of
to receive a copy of the Lienor's Notice as provided in Section 713 13(l)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjur declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and
belief. 7.
e75 7 flu 1
Wature of Owner or Lessee, or Owner's or Lessee's (Pnht Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of r I %--III C( & Countyof' 0`—a
The foregoing instrument was acknowledged before me this day of 201t,
by Who is personally known time 0 OR
Name of pers me ing statement
TwhohisproducedidentificationPtypeofidentificationproduced:
BELINDA A SHANKLE
Notary Public - State of FloridarNL
My Comm. Expires May 17,2018 Notar)SignA0to", n, IS Commission # FF 086020 EDC0 -MARYANNEMORSE
5 ACLER10FTHECORTAND
COMPTR 'LF
MAR 10 2016 SEMINOLE 1 z ,
1 11
BY DEPUTY CLCRK
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: I , — r)q
hereby acknowledge that I personally inspected
Vio`of deck nailing and/or [-Secondary water barrier wor"k
at
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual
and have dete ined that the work
based on 553.844 Fs.)',
I certify..that my statements/ herein are true and accurate to the best of my belief and that
undBrstand that alkdi n g
performance of
Section 837.06
Printed Name of
fully
statements in writing with the intent to mislead a public servant in the
duty shall constitute a misdemeanor of the second degree pursuant to
3/jL4 1901(p
Date
1215C)
License #
License Type: [I General El Building [I Residential /Roofing Contractor
11 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
F F I
Sworn -to (or affirmed) and subscribed before --Iay ofmetos- 1' _h _, 20 by
yl,— who is E—Personally Known to me or has El Produced (type of
i ificati n) A as identification.
SEAL)
Signature of NotAry Publiy N
St t f El rida p CHRIS11NA M. GRIFFIN
77) Al) .. . My coMMISSION # FF 124905
EXPIRES: June 12, 2018
Print/Type/Stamp Name BOW Thru Budp Notar Strvk"
of Notary Public